Chief Medical Officer

Louisiana Healthcare Connections; Louisiana (MO); On-site; USD 264,300 - 502,000; Full time

Benefits offered by this job

Health insurance

401K

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Job summary

A health plan subsidiary in Louisiana is looking for a Chief Medical Officer to provide medical oversight and leadership for cost-effective healthcare services. This hybrid position requires a Medical Doctor with at least 7 years of clinical experience and board certification. Responsibilities include overseeing medical management staff, promoting relationships within the local medical community, and monitoring quality indicators. Generous benefits package is available, including competitive pay of $264,300.00 - $502,000.00 per year.

Qualifications

• Must possess a Louisiana license and be a Louisiana resident.
• Management experience is preferred.
• Experience treating culturally diverse populations is a plus.

Responsibilities

• Provide leadership and expertise in medical oversight for health plan members.
• Act as clinical advisor and educator to the medical management staff.
• Monitor performance indicators to ensure quality standards in care delivery.

Skills

MD or DO without restrictions

Board Certified Physician

Medicaid experience

Education

Medical Doctor (MD) or Doctor of Osteopathy

7+ years clinical experience

Job description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

We are hiring a Chief Medical Officer for Louisiana Healthcare Connections, a subsidiary of Centene Corproration. This is a hybrid role with a mix of remote, in‑office engagement (Baton Rouge) and minor travel within the state.

Qualifications For This Role Include

• MD or DO without restrictions
• Board Certified Physician
• Louisiana license
• Louisiana resident
• Medicaid experience highly preferred

Position Purpose

Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.

• Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.
• Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.
• Provide oversight and direction for staff and provider training and education.
• Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.
• Review case management data, identifies trends and gaps in care and recommends corrective actions.
• Review all quality of care issues and oversee the development and implementation of processes for improvement.
• Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.
• Monitor member and provider satisfaction and recommend and implement changes to improve satisfaction levels.
• Work collaboratively to develop corporate clinical care standards and medical practice policies.
• Provide medical guidance to the Medical Management department.

Education/Experience

• Medical Doctor (MD) or Doctor of Osteopathy required.
• 7+ years clinical experience in the practice of medicine required.
• Management experience preferred.
• Utilization Management experience and knowledge of quality accreditation standards preferred.
• Actively practices medicine and provides leadership in the local medical community preferred.
• Coursework in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.
• Experience treating or managing care for a culturally diverse population preferred.

Pay Range $264,300.00 - $502,000.00 per year

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job‑related factors permitted by law, including full‑time or part‑time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.